| Baraka Services Llc | |
|
1125 E 1st St Casa Grande AZ 85122-4701 | |
| (913) 244-5274 | |
| Not Available |
| Full Name | Baraka Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1125 E 1st St, Casa Grande, Arizona |
| Authorized Official Name and Position | Nicholas Kivuvani (OWNER) |
| Authorized Official Contact | 9132445274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baraka Services Llc 6195 W Cougar Ave Las Vegas NV 89139-6861 Ph: (913) 244-5274 | Baraka Services Llc 1125 E 1st St Casa Grande AZ 85122-4701 Ph: (913) 244-5274 |
| NPI Number | 1942074539 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942074539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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